Chapter 317 Discussion of surgical plan, Director You's enthusiastic help
When it comes to children, the more you spoil them, the better.
In addition to giving children care, we also need to provide them with appropriate and correct guidance to help them establish correct values and understand what is good and what is evil.
Speaking of this, we must praise the martial arts novels and TV dramas, which have influenced an entire generation.
Nowadays, people born in the 1970s, 1980s, and 1990s generally have a strong sense of justice and a clear sense of right and wrong. This has a lot to do with their love of martial arts novels and TV dramas, and their admiration for the heroism and chivalry of the protagonists.
Don't bully the weak, men don't bully women, and deal with all kinds of bullies. These are positive energy thoughts with far-reaching influence.
As a result, many foreign girls are becoming more and more fond of Chinese men.
"It's okay, you're welcome. Take the child for a checkup! If there's no problem, come back to me and I'll put a plaster cast on him. After a period of care, there won't be any major problems."
Zhou Can applied for a check-up for the child and asked the family to take him for a follow-up examination.
Soon, they came back after the inspection.
Zhou Can took the film and watched it with great anticipation.
The displaced ankle joint has returned to its normal position. The ankle joint in the film looks fresh and natural, without any sense of incongruity.
"Doctor Zhou, how is it? Was the implantation successful?"
The official's wife asked nervously and expectantly.
"Congratulations, the child has been re-examined and the dislocated joint bones have returned to their original positions. I will put a plaster cast on him. It will take about 30 days to maintain it. Then come to the hospital to remove the plasterboard."
Zhou Can gave the follow-up treatment plan with a smile on his face.
He felt a great sense of accomplishment for successfully helping the child to reset his bones and avoiding the expensive costs and huge risks of surgery.
He was also happy about his bold attempts in medicine and their success.
"Thank you, thank you!"
Mrs. Guan cried with joy, repeating this simple word of thanks over and over again to express her gratitude and inner joy to Zhou Can.
The driver Xiao Xu was also very happy.
In order to treat the child's foot injury, he stayed in the hospital for nearly a day. If the child's injury was not cured, his work would basically be in vain.
Now that the child is fine, the meaning is completely different.
If things are done, it is a credit. If they are not done, you have to be careful that your boss will be unhappy and blame you for not doing your job well.
In the end, the official's wife left happily with her child.
Their gratitude to Zhou Can was beyond words, and the unpleasantness that occurred between them and Zhou Can had long since disappeared.
This also illustrates a problem. No matter how noble and powerful a person is, he or she has only one purpose for going to the hospital, which is to get treatment. If their illness cannot be cured, it is useless to be respectful.
Those who have a little power and status are always surrounded by people who flatter them. They are tired of all kinds of compliments and flattery.
It is very unrealistic to expect to gain appreciation and gratitude by means of a warm attitude and a few compliments.
Zhou Can continued to achieve impressive results, triggering rounds of applause, which made Du Leng jealous. On the last day, Zhou Can won many rounds of full house applause, earning enough attention and popularity.
But Durengke opened high and ended low, and continued to fall.
Today is even worse than yesterday, and there are only a few patients seeking his treatment.
Some people even had an appointment with him and were waiting in line, but when they saw that there were few people here or something, they secretly ran to the window to get an appointment with other experts and went to see them.
This made Du Leng even more depressed.
Zhou Can gained a lot of popularity and honor in this expert consultation activity, and is definitely a winner in life.
When Du Leng came, he was full of confidence, and his mind was full of fantasies of making a big splash.
He made his mark through this consultation activity and made the senior management of Tuya Hospital take notice of him. This way he could obtain more resources and pave the way for his path to becoming a famous doctor.
Unfortunately, things did not go as he wished, and his visit to the expert ended in complete failure.
Performed very badly.
…
By nearly six o'clock in the afternoon, the outpatient hall had become quite deserted.
Basically all the treatments that needed to be given to the patients who sought treatment have been completed.
There may be some patients who have not completed the examination, and I am afraid they will have to ask other doctors at Xinxiang Women's and Children's Hospital to take over.
"Okay, it's almost six in the afternoon, let's end this expert consultation activity successfully! Let's go to the cafeteria to have dinner first, then go back to the hotel to pack up and prepare to go back to Tuya Hospital tomorrow morning. If there are still patients who have not been handed over, hurry up and hand them over."
Director Zhang Bihua is the captain of this activity and she is the one giving the orders.
Zhou Can did not have a backlog of untreated patients, so his handover was very simple.
The only thing that worried him was the little boy with deformed hands.
There is still no movement at Xinxiang Maternity and Child Health Hospital. I am really impressed by them.
"Chief Tang, I want to ask you something!"
"Doctor Zhou, please speak!"
Section Chief Tang was extremely polite to Zhou Can.
If you want to poach special talents, can you be polite?
"For the little boy with deformed hands a few days ago, has the surgical plan been worked out? It's been two days, and I guess the family members are waiting anxiously."
Zhou Can asked tactfully.
If we don't urge him, he will leave soon, and it will be even more difficult to take care of the matter then.
"Oh! I'll ask Director Zhang about this later."
Section Chief Tang must know something about the situation, but it is impossible for him, as the section chief of the Propaganda and United Front Work Department, to directly order the chief physician of a department.
At most, I can just ask about it. If that doesn't work, I will report the matter to Dean Tian.
However, it is highly unlikely that he would report this to Dean Tian, as it would be very offensive.
In fact, I had already put pressure on Director Zhang two days ago, but the effect didn't seem to be very good. I just forced Director Zhang to agree to take over the child's surgery.
Afterwards, Director Zhang kept dragging his feet and Section Chief Tang was completely helpless.
When Zhou Can was about to finish his meal in the cafeteria, Section Chief Tang came over to him.
"Doctor Zhou, I just talked to Director Zhang about the situation, and he said that it has been arranged. He also knows that you are very concerned about the patient's surgery, and said that if you are willing, you can go directly to the pediatric orthopedic surgery department after dinner, and then we can discuss the surgical plan for the child."
It was only for Zhou Can's sake that he went over to urge them in person.
"Okay, thank you! I'll be right there!"
Zhou Can quickly finished the rest of the meal, rinsed the plates and put them in the tableware recycling area.
After saying hello to Director Zhang, he quickly headed to the Pediatric Orthopedics Department.
When he arrived, he found that the orthopedic surgery office was not very big, with only six seats. In fact, one seat seemed to be vacant.
This means there are only five or six doctors at work.
In a hospital like Tuya, a single department could easily have hundreds of people, which is simply unimaginable.
However, the pediatric orthopedics department of Xinxiang Maternal and Child Health Hospital is itself a sub-department under a secondary discipline.
Pediatrics is a secondary discipline, and surgery is also a secondary discipline. Pediatric orthopedic surgery is narrower than simple orthopedic surgery. It is limited to the field of children's orthopedic surgery.
It does not involve orthopedic surgery .
Although the two may have many similarities in medical principles .
When Zhou Can saw the size of the office, he realized how shabby this department was.
To put it bluntly, Tuya's emergency department is much better than it.
This also made him deeply aware that even though they are both Grade A hospitals, the gap in strength could be very large.
Xinxiang Women and Children's Hospital's strongest points are obstetrics and gynecology, and pediatrics, especially the respiratory department of pediatrics, which is very strong. Obstetrics and gynecology is its main business.
Boom boom boom!
Zhou Can stood at the door and knocked. Director Zhang, who was busy looking up some documents, looked up.
"Hello, Director Zhang! I'm here to discuss with you the treatment plan for the child with deformed hands." Zhou Can walked in with a smile on his face.
There were three doctors sitting inside. Director Zhang was older, and the other two doctors were around 37 or 38 years old.
All three were male doctors.
Pediatrics is actually more suitable for female doctors. Women have a natural affinity and are more gentle. They have more advantages in communicating with children and their movements should be gentler.
It is definitely good for children's tender bodies.
"Please take a seat! I'm sorry that this matter has been delayed until now without providing a surgical plan."
Director Zhang’s attitude is pretty good.
The posture is very low.
"The corrective surgery on that child's hands is indeed extremely difficult. Many aspects need to be considered when formulating the surgical plan. It will take a long time, which I can fully understand."
Zhou Can gave the other party enough face.
"Where are we now?"
He glanced and noticed that the book Director Zhang was looking at was a surgical book.
Looking at the pattern, it is a typical treatment case for hand deformity.
It's just that each patient's condition is different, so the surgical plan needs to be flexible. It's definitely not okay to just copy it from the book.
If the doctor is inexperienced and his skills are average, even a small change can be enough to make the doctor rack his brains.
"Well... we only have a rough surgical plan, and the details haven't been worked out yet. Does Doctor Zhou have any good suggestions or plans?" No matter how embarrassed Director Zhang was, he had to bite the bullet and ask.
Because he really couldn't handle it.
In addition to the necessary work, he spent most of the time these past two days looking up relevant information and asking people for advice.
Unfortunately, orthopedic surgery is not the strong point of Xinxiang Women's and Children's Hospital. The correction surgery of this congenital hair-blowing hand deformity is extremely difficult . Other doctors only gave him some minimal help.
They are also unable to help solve some key problems.
"I do have some suggestions. This operation has to solve many problems. I think a step-by-step approach should be very feasible. For example, the first step could be to release the subcutaneous strip. You can also use a full-thickness skin graft to cover the skin defect to improve the finger flexion deformity..."
Zhou Can spoke eloquently and gave very targeted suggestions that could really solve the problem.
The solutions he proposed did not come entirely from clinical experience in orthopedics.
This involves many theories and clinical practices of general surgery.
Dr. Liu passed on all his life's learning to him, which greatly helped him understand general surgery and solve various difficult problems.
"Subcutaneous band release! This plan is great!"
Director Zhang's eyes lit up after hearing the first suggestion.
"Thick skin transplantation is also a very practical method! Tuya Hospital is indeed worthy of its reputation. The strength of Tuya Orthopedics Department is really strong."
Director Zhang took it for granted that these brilliant treatment plans must have been arrived at by Zhou Can after consulting with the experts at Tuya Orthopedics Department.
He thought Zhou Can was just repeating it.
When Zhou Can heard Director Zhang praising the orthopedic surgery department of Tuya Hospital, he was stunned at first, and then he smiled nonchalantly.
He did consult Director Shen of the Orthopedic Surgery Department at Tuya Hospital.
But Director Shen did not tell him the specific surgical plan. Because Director Shen was not good at this type of surgery, he consulted with the chief physician of the orthopedic surgery department who was good at hand joints, and then directly told Zhou Can that Tuya could do this surgery.
The surgical suggestions Zhou Can just put forward were all his own "superficial opinions".
"How do we solve the problem of contracted thumb joint?" Director Zhang simply asked directly about some of the difficulties he could not solve.
“It should be feasible to use free skin graft or transfer flap to enlarge the contracted thumb.”
This kind of problem is not a big deal to Zhou Can.
He had undergone a similar operation in the emergency department, and Dr. Xu explained to him in detail a variety of specific and feasible surgical options.
"How to deal with the cross displacement of the intrinsic muscles of the hand?" Director Zhang took the first step and simply stopped caring about his face. He asked one question after another.
"It can be corrected with surgery. As for the specific surgical procedure, if possible, I can perform it."
Zhou Can expressed his position to him directly.
Coming over to participate in the discussion and offer suggestions is not just for the purpose of making suggestions.
The surgical mission was also one of Zhou Can's goals.
"Doctor Zhou...are you sure you can perform this kind of difficult and delicate surgery?" Director Zhang looked at Zhou Can again.
According to his understanding, there are a lot of resident doctors who have never touched a knife. Almost 90% of the interns will not have the opportunity to touch a scalpel until the end of their training.
Zhou Can directly stated that he was able to complete the corrective surgery for the cross displacement of the intrinsic hand muscles, which was really scary.
"This operation involves human life. I would never dare to joke about it."
Zhou Can looked serious.
Director Zhang just nodded without making a clear statement. He was obviously skeptical about Zhou Can's surgical ability.
Next, he "discussed" with Zhou Can several difficult problems that needed to be solved during the operation.
Zhou Can did not hide anything and answered all the questions one by one.
These include how to reposition a slipped tendon and how to fuse the thumb metacarpophalangeal joint.
After discussion, Director Zhang finally gained some confidence in this extremely difficult operation. However, there was still a key problem that could not be solved.
It is a difficult problem concerning the metacarpal joint.
Zhou Can is not good at this aspect.
Director Zhang also couldn't think of a solution for the time being due to his limited ability.
"Dr. Zhou, thank you for coming here today to discuss the surgical plan for this patient. You have been very helpful to us. I finally have some confidence in this operation. I will arrange the operation for the patient after the last problem is solved. Please come and participate in the operation then."
They had almost finished their discussion, and Zhou Can stood up to say goodbye.
Director Zhang quickly stood up to see him off.
He also took the initiative to shake hands with Zhou Can to express his gratitude.
"no problem."
Zhou Can agreed readily.
At least Director Zhang's positive attitude made him feel satisfied.
After returning to the hotel, Zhou Can directly asked Director Shen of Tuya Orthopedics for advice on how to deal with the bone joint.
Director Shen asked him to call Director You directly for advice.
Because he is not very good at bone and joint area.
Zhou Can's relationship with Director You was okay, but not as close as with Director Shen. He tried to call Director You with some trepidation.
"Who?"
"Hello, Director You. I'm Zhou Can! Do you remember me?"
"Oh, it's Zhou Can! I remember! Is your work ?"
Zhou Can was quite surprised that Director You actually cared about him so much.
"Thank you for your concern. My work is going well. Now I have a difficult surgical problem that I would like to ask you for advice..." Zhou Can briefly stated the problem.
"Director Shen contacted me about this case two days ago and told you clearly that Tuya can definitely do it. I am quite familiar with the orthopedic surgery capabilities of Xinxiang Women's and Children's Hospital. It's a bit of a stretch for them to complete this operation. But with you there to help with the operation, the result shouldn't be too bad."
Director You is an experienced man and understood what was going on as soon as he heard it.
He was very optimistic about Zhou Can's surgical ability.
"Xiao Zhou, the solution to the bone joint problem is not actually in the joint. All you need to do is osteotomize the metacarpal bones of the fingers. Add me on WeChat later. I'll draw a detailed diagram of the surgery and take a photo for you."
Director You’s words moved Zhou Can deeply.
The help they gave him was truly tremendous.
